Quapaw, OK

Higher Call Nursing Center

1-star overall rating with 1-star inspections with $40,077 in total fines with 6 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

407 Whitebird Street, Quapaw, OK

(918) 674-2233

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

43

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Global Healthcare Reit

Operator or chain grouping

Approved since

2020-10-06

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

10 facilities

Chain averages 2 overall / 2 health / 2 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.46

Registered nurse staffing · state 0.34 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 0.92 · national 0.87

Aide hours / resident day

2.53

Nurse aide staffing · state 2.57 · national 2.35

Total nurse hours

3.69

All reported nurse hours · state 3.84 · national 3.89

Licensed hours

1.16

RN + LPN hours · state 1.27 · national 1.54

Weekend hours

3.67

Weekend nurse staffing · state 3.49 · national 3.43

Weekend RN hours

0.29

Weekend registered nurse coverage · state 0.29 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.03 · national 0.07

Adjusted RN hours

0.55

CMS adjusted RN staffing hours

Adjusted total hours

4.40

CMS adjusted total nurse staffing hours

Case-mix index

1.15

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

68%

Annual nurse turnover · state 56% · national 46%

SNF VBP

Value-based purchasing

Program rank

8,892

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

25.36

Composite VBP score used to determine payment impact.

Payment multiplier

0.9838

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.16% · Performance 23.20% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

6.64

Baseline 10.51% · Performance 6.57% · Measure score 6.64 · Achievement 4.23 · Improvement 6.64

Total nurse turnover

0

Baseline 61.54% · Performance 71.15% · Measure score 0 · Achievement 0 · Improvement 0

Adjusted total nurse staffing

3.5

Baseline 3.55 hours · Performance 4.07 hours · Measure score 3.5 · Achievement 3.5 · Improvement 1.86

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 11.24%
10.72%
0.5 pts worse
No Different than the National Rate · Eligible stays 44 · Observed rate 18.18% · Lower 95% interval 7.65%
Discharge to community 45.9%
50.57%
4.7 pts worse
No Different than the National Rate · Eligible stays 28 · Observed rate 28.57% · Lower 95% interval 30.69%
Medicare spending per beneficiary 1.06
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 46 · Denominator 46
Falls with major injury 2.17%
0.77%
1.4 pts worse
Numerator 1 · Denominator 46
Discharge self-care score 62.5%
53.69%
8.8 pts better
Numerator 15 · Denominator 24
Discharge mobility score 41.67%
50.94%
9.3 pts worse
Numerator 10 · Denominator 24
Pressure ulcers or injuries, new or worsened 2.17%
2.29%
0.1 pts better
Numerator 1 · Denominator 46 · Adjusted rate 2.8%
Healthcare-associated infections requiring hospitalization 6.57%
7.12%
0.5 pts better
No Different than the National Rate · Eligible stays 28 · Observed rate 3.57% · Lower 95% interval 3.02%
Staff COVID-19 vaccination coverage Not Available
8.2%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Staff flu vaccination coverage Not Available
42%
Numerator Not Available · Denominator Not Available · No data were submitted for this measure.
Discharge function score 54.17%
56.45%
2.3 pts worse
Numerator 13 · Denominator 24
Transfer of health information to provider 100%
95.95%
4 pts better
Numerator 29 · Denominator 29
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 26.09%
25.2%
0.9 pts better
Numerator 6 · Denominator 23

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.9
2.3
0.6 pts worse
1.9
1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.4 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.9
2.9
About the same
1.8
1.1 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.9 · Expected 1.6 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 88.7%
90.3%
1.6 pts worse
93.4%
4.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 94.6% · Q2 86.1% · Q3 87.2% · Q4 86.8% · 4Q avg 88.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
94.6%
5.4 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury 2.7%
4.5%
1.8 pts better
3.3%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 0.0% · Q3 2.6% · Q4 2.6% · 4Q avg 2.7% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 1.5%
3.3%
1.8 pts better
11.4%
9.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 1.5%
Percentage of long-stay residents who lose too much weight 5.6%
3.6%
2 pts worse
5.4%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 7.7% · Q3 7.4% · Q4 0.0% · 4Q avg 5.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 29.1%
25.3%
3.8 pts worse
19.6%
9.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 29.6% · Q2 30.8% · Q3 27.6% · Q4 28.6% · 4Q avg 29.1%
Percentage of long-stay residents who received an antipsychotic medication 14.0%
18.6%
4.6 pts better
16.7%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 14.3% · Q3 19.0% · Q4 8.7% · 4Q avg 14.0% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 5.3%
15.5%
10.2 pts better
16.3%
11 pts better
Long Stay · 2024Q4-2025Q3 · 4Q avg 5.3% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 7.5%
14.1%
6.6 pts better
14.9%
7.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 3.8% · Q3 14.3% · Q4 3.7% · 4Q avg 7.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
2.1%
2.1 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 10.8%
2.8%
8 pts worse
1.7%
9.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.3% · Q3 8.1% · Q4 21.1% · 4Q avg 10.8% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 17.5%
17.8%
0.3 pts better
19.8%
2.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 13.8% · Q3 18.4% · Q4 17.9% · 4Q avg 17.5%
Percentage of long-stay residents with pressure ulcers 5.9%
5.1%
0.8 pts worse
5.1%
0.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 8.6% · Q2 5.0% · Q3 4.3% · Q4 5.9% · 4Q avg 5.9% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 89.7%
75.0%
14.7 pts better
81.7%
8 pts better
Short Stay · 2024Q4-2025Q3 · Q1 90.5% · Q2 92.3% · Q4 76.2% · 4Q avg 89.7%
Percentage of short-stay residents who had an outpatient emergency department visit 13.6%
17.1%
3.5 pts better
12.0%
1.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 13.6% · Observed 21.1% · Expected 17.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
1.9%
1.9 pts better
1.6%
1.6 pts better
Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 81.5%
74.0%
7.5 pts better
79.7%
1.8 pts better
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.5%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.4%
27.0%
5.4 pts worse
23.9%
8.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 32.4% · Observed 52.6% · Expected 38.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-05-16 · Fire 2024-05-16

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-04-04 · Fire 2023-04-04

20 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

3 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)

Cycle 3 Health 2019-07-11 · Fire 2019-07-11

6 health deficiencies

Top issue: Resident Assessment and Care Planning (3 deficiencies)

2 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-05-16

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-08-02

E · Potential for more than minimal harm 2023-04-04

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-07-01

C · Minimal harm 2023-04-04

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-07-01

C · Minimal harm 2023-04-04

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-07-01

F · Potential for more than minimal harm 2019-07-11

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2019-09-02

E · Potential for more than minimal harm 2019-07-11

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2019-09-02

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-09

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-27

E · Potential for more than minimal harm 2024-05-16

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2024-06-20

E · Potential for more than minimal harm 2024-05-16

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-16

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-16

F700 · Quality of Life and Care Deficiencies

Health

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Corrected 2024-06-20

D · Potential for more than minimal harm 2024-05-16

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-06-20

J · Immediate jeopardy 2024-03-28

F561 · Resident Rights Deficiencies

Health

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Corrected 2024-04-19

J · Immediate jeopardy 2024-03-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-04-19

J · Immediate jeopardy 2024-03-28

F678 · Quality of Life and Care Deficiencies

Health

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Corrected 2024-04-19

G · Actual harm 2024-03-28

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2024-04-19

F · Potential for more than minimal harm 2024-03-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-28

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2024-04-19

D · Potential for more than minimal harm 2024-03-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-04-19

J · Immediate jeopardy 2023-04-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-07-01

J · Immediate jeopardy 2023-04-04

F742 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Corrected 2023-07-01

E · Potential for more than minimal harm 2023-04-04

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-07-01

E · Potential for more than minimal harm 2023-04-04

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-07-01

E · Potential for more than minimal harm 2023-04-04

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-07-01

E · Potential for more than minimal harm 2023-04-04

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-07-01

D · Potential for more than minimal harm 2023-04-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2023-07-01

G · Actual harm 2019-07-11

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2019-09-02

E · Potential for more than minimal harm 2019-07-11

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2019-09-02

E · Potential for more than minimal harm 2019-07-11

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2019-09-02

E · Potential for more than minimal harm 2019-07-11

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2019-09-02

E · Potential for more than minimal harm 2019-07-11

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2019-09-02

D · Potential for more than minimal harm 2019-07-11

F636 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Corrected 2019-09-02

Penalties and ownership

What sits behind the stars

$18,113 2024-03-28

Fine

Fine · fine $18,113

Fine

$7,446 2023-04-04

Fine

Fine · fine $7,446

Fine

$14,518 2023-04-04

Fine

Fine · fine $14,518

Fine

$0 2023-04-04

Payment Denial

Payment Denial · denial start 2023-06-07 · 24 days

24 day denial

Ownership

Selectis Health Inc

5% Or Greater Direct Ownership Interest · Organization

100% 8 facilities 2020-03-01
Bishop, Rachelle

Operational/Managerial Control · Individual

0% 1 facilities 2025-09-29
Bryan, Vincent

Operational/Managerial Control · Individual

0% 1 facilities 2021-12-01
Bryant, Sara

Operational/Managerial Control · Individual

0% 2 facilities 2022-09-20
Carrow, Jerika

Operational/Managerial Control · Individual

0% 2 facilities 2024-10-04
Day, Sarah

Operational/Managerial Control · Individual

0% 4 facilities 2021-07-26
Desmond, Adam

Operational/Managerial Control · Individual

0% 8 facilities 2023-11-01
Eckhart, Krystal

Operational/Managerial Control · Individual

0% 8 facilities 2020-03-01
Griffin, Barbara

Operational/Managerial Control · Individual

0% 1 facilities 2024-07-31
Hahner, Michelle

Operational/Managerial Control · Individual

0% 4 facilities 2023-02-13
Selectis Management LLC

Operational/Managerial Control · Organization

0% 8 facilities 2020-12-14
Small, Novetta

Operational/Managerial Control · Individual

0% 4 facilities 2024-03-15
Trost, Jamie

Operational/Managerial Control · Individual

0% 4 facilities 2022-09-08
Whiteeagle, Kassidy

Operational/Managerial Control · Individual

0% 1 facilities 2025-10-01

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Health
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Staffing
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Fines
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#3

Miami Nursing Center, LLC

Miami, OK

1-star overall rating with 1-star inspections with $42,501 in total fines with 14 recent health deficiencies

Overall
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Health
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Staffing
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Fines
$42,501

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